EMDR Intervention for a 17-Month-Old Child to Treat Attachment Trauma: Clinical Case Presentation

2018 ◽  
Vol 12 (4) ◽  
pp. 269-281
Author(s):  
Lindy Lee Swimm
Keyword(s):  
Posttraumatic Stress ◽  
Ptsd Symptoms ◽  
Secure Attachment ◽  
Case Presentation ◽  
Attachment Trauma ◽  
Stress Symptoms ◽  
Life Threatening ◽  
Adaptive Information Processing ◽  
Emdr Therapy

This article explores the effectiveness of treating a 17-month-old male diagnosed with posttraumatic stress disorder (PTSD) and a disrupted secure attachment utilizing eye movement desensitization reprocessing (EMDR) and an integrative family therapy approach. The child experienced a life-threatening choking incident requiring hospitalization. Pretreatment, the child was inconsolable by his parents when distressed and could not tolerate anything touching his throat. Posttreatment, the child accepts comfort from his parents and allows his mother to kiss his throat. Results demonstrate a reduction or elimination of PTSD symptoms and a return to a secure attachment. This case study underscores Shapiro’s Adaptive Information Processing (AIP) model (2001). Application and customization of the eight phases of EMDR therapy are highlighted along with the Integrative Attachment Trauma Protocol for Children (IATP-C). Treatment consisted of five sessions. Customization included caregiver psychoeducation; EMDR resource development, focused on strengthening attachment and regulating emotion; and facilitating caregiver co-regulation throughout EMDR. The use of EMDR therapy with customization through the IATP-C protocol shows promise as an effective intervention for treating posttraumatic stress symptoms and repairing attachment in very young children.

Posttraumatic Stress Symptoms in a Population of Rural Children in South Africa

1999 ◽  
Vol 85 (2) ◽  
pp. 646-650 ◽  
Author(s):  
Karl Peltzer
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Posttraumatic Stress Symptoms ◽  
Unexpected Death ◽  
Loved One ◽  
Stress Symptoms ◽  
Life Threatening ◽  
Age Range

The purpose of the study was to identify exposure to experiences such as violence and the consequences for health in children in a rural South African community. The stratified random sample included 148 children below 17 yr., which comprised 68 (46%) boys and 80 (54%) girls in the age range of 6 to 16 years ( M = 12.1 yr., SD = 3.1). Their ethnicity was Northern Sotho. The interviews included the Children's Posttraumatic Stress Disorder Inventory and the Reporting Questionnaire for Children. The experiences could be grouped into either traumatic or other events. 99 (67%) had directly or vicariously experienced a traumatic event which included witnessing someone killed or seriously injured, serious accident, violent or very unexpected death or suicide of loved one, sexual abuse or rape of relative or friend, violent crime, child abuse, and other life-threatening situations. Scores on the Children's Posttraumatic Stress Disorder Inventory of 17 (8.4%) fulfilled the criterion for posttraumatic stress disorder. 71% had more than one score and 53% had more than four scores on the Reporting Questionnaire for Children. Posttraumatic stress symptoms were significantly related to age and experiences such as those mentioned above.

The Association Between Posttraumatic Stress Symptoms and Anxiety Sensitivity in a College Sample

2020 ◽  
pp. 003329412094822
Author(s):  
Nicole M. Caulfield ◽  
Rachel L. Martin ◽  
Aaron M. Norr ◽  
Daniel W. Capron
Keyword(s):  
Posttraumatic Stress ◽  
Anxiety Sensitivity ◽  
Ptsd Symptom ◽  
Traumatic Event ◽  
Physical Symptoms ◽  
Symptom Clusters ◽  
Posttraumatic Stress Symptoms ◽  
Sensitivity Index ◽  
Ptsd Symptoms ◽  
Stress Symptoms

Background/Objectives One-half of all U.S. adults will experience at least one traumatic event, and of those, approximately 11% develop posttraumatic stress disorder (PTSD) symptoms. Despite efficacious treatments for PTSD, one-third of people diagnosed still express symptoms after treatment.Thus, it is important to identify underlying factors that may be associated with PTSD symptom clusters to improve treatment efficacy. One potential factor is anxiety sensitivity (AS), or “the fear of fear,” and includes three different subfactors: physical, cognitive, and social concerns, yet few studies have examined this association using the Anxiety Sensitivity Index-3. Method Participants included 65 undergraduate students from a Southeastern University who were elevated on anxiety sensitivity cognitive concerns and experienced at least one traumatic event. Participants completed measures of trauma exposure, anxiety sensitivity, posttraumatic stress symptoms, and suicidal ideation. Results Results revealed that AS physical symptoms had the most robust association with potential PTSD symptoms and individual PTSD symptom clusters with the exception of the avoidance and numbing cluster Conclusions These findings may help clarify the nature of the relationship between PTSD symptoms and AS using the most updated measure of AS (ASI-3).

Neuropsychological and Physiological Outcomes Pre- and Post-EMDR Therapy for a Woman With PTSD: A Case Study

2015 ◽  
Vol 9 (4) ◽  
pp. 174-187 ◽  
Author(s):  
Benito Daniel Estrada Aranda ◽  
Nathalí Molina Ronquillo ◽  
María Elena Navarro Calvillo
Keyword(s):  
Heart Rate ◽  
Posttraumatic Stress ◽  
Single Case ◽  
Global Scale ◽  
Information Processing Speed ◽  
Attentional Processes ◽  
Neuropsychological Evaluations ◽  
Physiological Outcomes ◽  
Emdr Therapy

This article provides a comprehensive review of the literature on the neurocognitive impact of posttraumatic stress disorder (PTSD) and reports on a quantitative single-case study, which investigated whether eye movement desensitization and reprocessing (EMDR) therapy would change the neuropsychological and physiological responses of an 18-year-old female client diagnosed with comorbid PTSD and major depressive disorder. Eleven 90-minute weekly sessions of EMDR therapy were provided. We used biofeedback equipment (ProComp5 Infiniti System) to obtain records of heart rate and conductance while the participant was in the desensitization and reprocessing phases of EMDR therapy. Results showed a heart rate decrease between baselines at the beginning and end of treatment. Neuropsychological evaluations of attention, memory, and brain executive functions showed pretreatment impairments in attentional processes, information processing speed, and working memory and posttreatment improvement of these cognitive functions, with significant differences on the Paced Auditory Serial Addition Test. We found a substantial posttreatment decrease in mean scores on the Beck Depression Inventory-II and the Dissociative Experiences Scale. Furthermore, the patient showed no signs of PTSD after the intervention, based on the Posttraumatic Stress Global Scale. At 1-year follow-up, the participant reported maintenance of treatment effects. We discuss how amelioration of PTSD symptoms was associated with improved neurocognitive outcomes.

scholarly journals Longitudinal association between infant disorganized attachment and childhood posttraumatic stress symptoms

2008 ◽  
Vol 20 (2) ◽  
pp. 493-508 ◽  
Author(s):  
Helen Z. MacDonald ◽  
Marjorie Beeghly ◽  
Wanda Grant-Knight ◽  
Marilyn Augustyn ◽  
Ryan W. Woods ◽  
...  
Keyword(s):  
Posttraumatic Stress ◽  
Traumatic Event ◽  
Trauma Exposure ◽  
Diagnostic Interview ◽  
Posttraumatic Stress Symptoms ◽  
Disorganized Attachment ◽  
Clinical Psychologist ◽  
Ptsd Symptoms ◽  
Stress Symptoms ◽  
History Of

AbstractThe purpose of this study was to evaluate whether children with a history of disorganized attachment in infancy were more likely than children without a history of disorganized attachment to exhibit symptoms of posttraumatic stress disorder (PTSD) at school age following trauma exposure. The sample consisted of 78 8.5-year-old children from a larger, ongoing prospective study evaluating the effects of intrauterine cocaine exposure (IUCE) on children's growth and development from birth to adolescence. At the 12-month visit, children's attachment status was scored from videotapes of infant–caregiver dyads in Ainsworth's strange situation. At the 8.5-year visit, children were administered the Violence Exposure Scale—Revised, a child-report trauma exposure inventory, and the Diagnostic Interview for Children and Adolescents by an experienced clinical psychologist masked to children's attachment status and IUCE status. Sixteen of the 78 children (21%) were classified as insecure–disorganized/insecure–other at 12 months. Poisson regressions covarying IUCE, gender, and continuity of maternal care indicated that disorganized attachment status at 12 months, compared with nondisorganized attachment status, significantly predicted both higher avoidance cluster PTSD symptoms and higher reexperiencing cluster PTSD symptoms. These findings suggest that the quality of early dyadic relationships may be linked to differences in children's later development of posttraumatic stress symptoms following a traumatic event.

Posttraumatic Stress Disorder:A Missed Link Between Psychiatric and Cardiovascular Morbidity?

CNS Spectrums ◽  
2006 ◽  
Vol 11 (2) ◽  
pp. 129-136 ◽  
Author(s):  
Gad Cotter ◽  
Olga Milo-Cotter ◽  
David Rubinstein ◽  
Eyal Shemesh
Keyword(s):  
Posttraumatic Stress ◽  
Depressive Disorders ◽  
Traumatic Event ◽  
Ptsd Symptoms ◽  
Treatment Information ◽  
Cardiovascular Patients ◽  
Acute Exacerbations ◽  
Clinical Program ◽  
Life Threatening ◽  
Available Information

AbstractPosttraumatic stress disorder (PTSD) symptoms may develop as a result of an acute, life-threatening traumatic event. Such acute events are quite common in patients with cardiovascular illnesses (ie, a myocardial infarction, acute exacerbations of heart failure or edema). Indeed, PTSD symptoms have been described in a substantial minority of patients who had such events (10% to 25%), and have been shown to be associated with medical morbidity and with non-adherence to medications. This review summarizes available information about these symptoms in patients with cardiovascular illnesses. It also describes the importance of recognizing PTSD as a distinct psychiatric disorder (that can be addressed by specific treatments) and as an important compounding factor in studies of psychopathology in cardiovascular patients. In particular, an argument is made that the understanding of depressive disorders in patients with cardiovascular illnesses should incorporate conceptual and treatment information from the emotional trauma literature if indeed depressive and anxiety disorders are to be successfully treated in these patients. The authors conclude with a description of the challenges and promise of an effort to implement a clinical program to screen for PTSD symptoms in patients with cardiovascular illnesses, and with recommendations for future efforts.

scholarly journals Late-Term Elective Abortion and Susceptibility to Posttraumatic Stress Symptoms

2010 ◽  
Vol 2010 ◽  
pp. 1-10 ◽  
Author(s):  
Priscilla K. Coleman ◽  
Catherine T. Coyle ◽  
Vincent M. Rue
Keyword(s):  
Posttraumatic Stress ◽  
Ptsd Symptoms ◽  
Trimester Abortion ◽  
Full Sample ◽  
Stress Symptoms ◽  
Elective Abortion ◽  
Falling Asleep ◽  
Late Abortion ◽  
Early Abortion ◽  
Professional Intervention

The primary aim of this study was to compare the experience of an early abortion (1st trimester) to a late abortion (2nd and 3rd trimester) relative to Posttraumatic Stress Disorder (PTSD) symptoms after controlling for socio-demographic and personal history variables. Online surveys were completed by 374 women who experienced either a 1st trimester abortion (up to 12 weeks gestation) or a 2nd or 3rd trimester abortion (13 weeks gestation or beyond). Most respondents (81%) were U.S. citizens. Later abortions were associated with higher Intrusion subscale scores and with a greater likelihood of reporting disturbing dreams, reliving of the abortion, and trouble falling asleep. Reporting the pregnancy was desired by one's partner, experiencing pressure to abort, having left the partner prior to the abortion, not disclosing the abortion to the partner, and physical health concerns were more common among women who received later abortions. Social reasons for the abortion were linked with significantly higher PTSD total and subscale scores for the full sample. Women who postpone their abortions may need more active professional intervention before securing an abortion based on the increased risks identified herein. More research with diverse samples employing additional measures of mental illness is needed.

scholarly journals Longitudinal association between infant disorganized attachment and childhood posttraumatic stress symptoms

2008 ◽  
Vol 20 (4) ◽  
pp. 1351-1351 ◽  
Author(s):  
Helen Z. Macdonald ◽  
Marjorie Beeghly ◽  
Wanda Grant-Knight ◽  
Marilyn Augustyn ◽  
Ryan W. Woods ◽  
...  
Keyword(s):  
Posttraumatic Stress ◽  
Traumatic Event ◽  
Trauma Exposure ◽  
Diagnostic Interview ◽  
Posttraumatic Stress Symptoms ◽  
Disorganized Attachment ◽  
Clinical Psychologist ◽  
Ptsd Symptoms ◽  
Stress Symptoms ◽  
History Of

AbstractThe purpose of this study was to evaluate whether children with a history of disorganized attachment in infancy were more likely than children without a history of disorganized attachment to exhibit symptoms of posttraumatic stress disorder (PTSD) at school age following trauma exposure. The sample consisted of 78 8.5-year-old children from a larger, ongoing prospective study evaluating the effects of intrauterine cocaine exposure (IUCE) on children's growth and development from birth to adolescence. At the 12-month visit, children's attachment status was scored from videotapes of infant–caregiver dyads in Ainsworth's strange situation. At the 8.5-year visit, children were administered the Violence Exposure Scale—Revised, a child-report trauma exposure inventory, and the Diagnostic Interview for Children and Adolescents by an experienced clinical psychologist masked to children's attachment status and IUCE status. Sixteen of the 78 children (21%) were classified as insecure–disorganized/insecure–other at 12 months. Poisson regressions covarying IUCE, gender, and continuity of maternal care indicated that disorganized attachment status at 12 months, compared with nondisorganized attachment status, significantly predicted both higher avoidance cluster PTSD symptoms and higher reexperiencing cluster PTSD symptoms. These findings suggest that the quality of early dyadic relationships may be linked to differences in children's later development of posttraumatic stress symptoms following a traumatic event.

scholarly journals Renocolic fistula following a partial nephrectomy: a case study

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Hamza Dergamoun ◽  
Youssef Zaoui ◽  
David Amielh ◽  
Pascal Volpe ◽  
Amine El Kharroubi
Keyword(s):  
Septic Shock ◽  
Partial Nephrectomy ◽  
Case Presentation ◽  
Diagnosis And Management ◽  
Life Threatening ◽  
Partial Colectomy ◽  
Total Nephrectomy

Abstract Background Uro-digestive fistulae are uncommon. They frequently manifest themselves with mild symptoms but can, in some cases, be life-threatening leading to septic shock and death. The diagnosis is facilitated by radiological explorations and their management remains mainly surgical. Case presentation We report the case of a diabetic 62-year-old patient who developed a renocolic fistula revealed by a digestive symptomatology, following a partial nephrectomy that was surgically treated with positive overall outcome. Conclusion The development of a fistula between the colon and the kidney is very rare. Although the outcome was positive at the price of total nephrectomy and partial colectomy, the diagnosis and management of the fistula were challenging. Urologists should keep in mind the possibility of a fistula developing in the aftermath of a partial nephrectomy.

The Phenomenology and Correlates of Flashbacks in Individuals With Posttraumatic Stress Symptoms

2018 ◽  
Vol 7 (2) ◽  
pp. 249-264 ◽  
Author(s):  
Anne L. Malaktaris ◽  
Steven Jay Lynn
Keyword(s):  
Posttraumatic Stress ◽  
Experiential Avoidance ◽  
Sleep Disturbances ◽  
Stress Disorder ◽  
Emotional Intensity ◽  
Ptsd Symptoms ◽  
Future Directions ◽  
Stress Symptoms ◽  
Considerable Controversy ◽  
And Control

Reexperiencing symptoms are a hallmark of posttraumatic stress disorder (PTSD). Relatively little research has examined flashbacks in individuals with PTSD, and theoretical attempts to define and conceptualize flashbacks continue to be marked by considerable controversy. We compared individuals with PTSD or subthreshold PTSD symptoms (PTSS) with ( n = 45) and without flashbacks ( n = 32) to trauma-exposed controls ( n = 33) and control participants without trauma exposure ( n = 33). We compared the qualities of flashbacks of individuals with PTSS to those simulated by individuals without flashbacks. As predicted, individuals with PTSS reported significantly greater sleep disturbances, experiential avoidance, and lower trait mindfulness than those without PTSS. Individuals without PTSS underestimated the vividness, emotional intensity, distress, and functional impact associated with flashbacks. Consistent with basic-mechanisms theory, we did not find evidence of fragmentation of flashbacks in individuals with PTSS. Additional implications and future directions are discussed.

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